Notice2024-19404
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 29, 2024
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Full Text
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<title>Federal Register, Volume 89 Issue 168 (Thursday, August 29, 2024)</title>
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[Federal Register Volume 89, Number 168 (Thursday, August 29, 2024)]
[Notices]
[Pages 70191-70192]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-19404]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-18F5 and CMS-287-22]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), Federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by September 30, 2024.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
[[Page 70192]]
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
Federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Reinstatement with
change of a currently approved collection; Title of Information
Collection: Application for Enrollment in Medicare Part A internet
Claim (iClaim) Application Screen Modernized Claims System and
Consolidated Claim Experience Screens; Use: The Centers for Medicare
and Medicaid Services (CMS) Form ``Application for Hospital Insurance''
supports sections 1818 and 1818A of the Social Security Act (the Act)
and corresponding regulations at 42 CFR 406.6 and 406.7.
The CMS-18-F5 is used to establish entitlement to Part A and
enrollment in Part B for claimants who must file an application. The
application follows the questions and requirements used by SSA on the
electronic application. This is done not only for consistency purposes
but because certain requirements under titles II and XVIII of the act
must be met in order to qualify for Part A and Part B; including
insured status, relationship and residency. The form is owned by CMS
but is not utilized by CMS staff. SSA uses the form to collect
information and make Part A and Part B entitlement determinations on
behalf of CMS. Form Number: CMS-18F5 (OMB control number: 0938-0251);
Frequency: Once; Affected Public: Individuals and Households; Number of
Respondents: 1,042,263; Total Annual Responses: 1,042,263; Total Annual
Hours: 260,566. (For policy questions regarding this collection contact
Carla Patterson at 410-786-8911 or <a href="/cdn-cgi/l/email-protection#307351425c511e605144445542435f5e70535d431e5858431e575f46"><span class="__cf_email__" data-cfemail="105371627c713e407164647562637f7e50737d633e7878633e777f66">[email protected]</span></a>).
2. Type of Information Collection Request: Extension without change
of a previously approved collection; Title of Information Collection:
Home Office Cost Statement; Use: A home office/chain organization (HO/
CO) submits the home office cost statement annually as the documentary
support required for a provider that is a member of the HO/CO to be
reimbursed for HO/CO costs claimed in the provider's cost report (see
42 CFR 413.24(f)(5)(i)(E)(1) and (2)).
The relationship of the HO/CO is that of a related organization to
a provider (see 42 CFR 413.17). A HO/CO usually furnishes central
management and administrative services, e.g., centralized accounting,
purchasing, personnel services, management direction and control, and
other services. To the extent that the HO/CO furnishes services related
to patient care to a provider, the reasonable costs of such services
are included in the provider's cost report and are reimbursable as part
of the provider's costs.
CMS requires the form to determine a HO/CO's reasonable cost
incurred in furnishing management and administrative services to
Medicare providers, each of which includes the costs in their cost
report for reimbursement. A Medicare-certified provider includes costs
allocated from the home office cost statement in the provider's costs
used by CMS for rate setting; payment refinement activities, including
developing a market basket; and Medicare Trust Fund projections; and to
support program operations. Additionally, the Medicare Payment Advisory
Commission (MedPAC) uses the cost report data to calculate Medicare
margins (a measure of the relationship between Medicare's payments and
providers' Medicare costs) and analyze data to formulate Medicare
Program recommendations to Congress. Form Number: CMS-287-22 (OMB
control number: 0938-0202); Frequency: Yearly; Affected Public: Private
Sector; Business or other for-profits, Not-for-profit institutions;
Number of Respondents: 1,646; Total Annual Responses: 1,646; Total
Annual Hours: 767,036. (For policy questions regarding this collection
contact Gail S. Duncan at (410) 786-7278.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-19404 Filed 8-28-24; 8:45 am]
BILLING CODE 4120-01-P
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